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                        <p>
                            &nbsp;</p>
                        <p>
                            <span class="blog-heading">Application for NENA Membership</span></p>
                        <p>
                            &nbsp;</p>
                        <p>
                            <h4>
                                Please read and agree to the following before completing the NENA application form</h4>
                        </p>
                        <ul>
                            <b>By filling out this application form,</b>
                            <li>I am advising that I am a current licensed registered nurse in Canada. </li>
                            <li>I am aware my application will be stored for one year for authentication purposes.
                            </li>
                            <li>Your information will be held in private for the use of NENA.ca only </li>
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                        &nbsp;
                    </td>
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                        Email Address
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                            <strong><font color="red">*</font></strong>&nbsp; <font size="1">Only 1 address please</font>
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                        Referral Code
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